Social Worker MSW | Home Health and Hospice

• Provides individual, marital, family and group therapy within the scope of service of the clinic.
• Develops and implements an individualized treatment approach. Communicates with family to further the effectiveness of treatment plan.
• Collaborates with patient/family, multidisciplinary team, and physician to formulate a realistic plan that identifies goals, specific interventions, and resources to meet the patient's needs.
• Assesses patient’s progress and modifies treatment plan accordingly.
• Develops and maintains positive partnerships with providers of mental health and social services in the community as appropriate to the needs and requirements of the patient on an ongoing basis.
• Maintains good communication and collaborative relationships with referring providers and other staff. Recommends additional referrals for patient as needed.
• Functions as a positive resource, communication coordinator, and role model for departmental staff. Maintains accessibility and visibility within the department.
• Assists patients to maintain their sense of competence, identity and autonomy.
• Demonstrates effective collaboration with community/regional services and hospital personnel while maintaining patient and family rights.
• Assists in discharge plan development, giving direction to discharge planner as needed.
• Completes discharge planning note/assessment within predetermined guidelines. Upon completion of assessment, recommendations are integrated into the treatment plan 95% of the time.
• All other duties as assigned.

Monument Health